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巨大十二指肠腺瘤一例

郑鹏,嵇武,考晓明,朱传荣

Chinese Journal of General Surgery（2014）

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Abstract
患者,女,44岁.因"上腹部胀痛伴肩背部酸胀不适7d"入院.腹部B超检查:肝胰间隙可见1个囊实性团块.电子胃镜:十二指肠球部隆起型病变,大小约3 cm×4 cm.CT示肝胰间隙囊实性占位,大小约4.7 cm ×6.5 cm.上消化道钡餐X线造影示:十二指肠球部和降部多个类圆形充盈缺损,边界较光整,正常肠黏膜消失(图1).行剖腹探查术.术中游离十二指肠至幽门下4 cm,切开胃幽门部,见1个大小约7 cm×4 cm肿瘤,近幽门部,基底部广,质中,表面光滑,凸向十二指肠肠腔(图2).
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